Individual
DWIGHT E MOXLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4122
Mailing address
5368 OAKMONT CT, NORTH PORT, FL 34287-3177
(941) 286-8364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9174982
FL
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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